Whitewater Oral Surgery Group PLLC
NPI 1104248053 · Oral and Maxillofacial Surgery (Dentist) · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Whitewater Oral Surgery Group PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Boise, ID (NPI 1104248053).
Provider details
- NPI number
- 1104248053
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Kevin Kempers, Owner(208) 342-7610
- License
- M7750 (ID)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-13
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Frequently asked questions
- What is Whitewater Oral Surgery Group PLLC's NPI number?
- Whitewater Oral Surgery Group PLLC's National Provider Identifier (NPI) is 1104248053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Whitewater Oral Surgery Group PLLC?
- Whitewater Oral Surgery Group PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Whitewater Oral Surgery Group PLLC located?
- Whitewater Oral Surgery Group PLLC's practice location on file with NPPES is 3003 W Main St Ste 130, Boise, ID 83702-2026.
- What is Whitewater Oral Surgery Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Whitewater Oral Surgery Group PLLC is (208) 342-7610.
- Does Whitewater Oral Surgery Group PLLC accept Medicare?
- Whitewater Oral Surgery Group PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Whitewater Oral Surgery Group PLLC?
- The authorized official listed on Whitewater Oral Surgery Group PLLC's NPPES record is Kevin Kempers, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Whitewater Oral Surgery Group PLLC's NPI active?
- Yes — Whitewater Oral Surgery Group PLLC's NPI (1104248053) is active in the NPPES registry as of the last update on 2020-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.